Greenwood Manor Nursing Home Inc
LBN: Greenwood Manor Nursing Home Inc
Greenwood Manor Nursing Home Inc is an health care organization with primary practice located at 410 Fletcher St , Jerseyville IL 62052-2127. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty.
Greenwood Manor Nursing Home Inc can be contacted via phone (618) 498-6427, or through Plummer, Lawrence B via phone (618) 498-6427.
Contact Information
Primary practice address
410 Fletcher St
Jerseyville IL 62052-2127
Phone: (618) 498-6427
Fax: (618) 639-3339
Website:
Authorized official contact:
Name: Plummer, Lawrence B Doctor of Osteopathy (DO)
Phone: (618) 498-6427
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility | 313M00000X | 0020206 | Illinois |
Profile Details
| NPI number | 1336138411 |
|---|---|
| LBN Legal business name | Greenwood Manor Nursing Home Inc |
| DBA Doing business as | |
| Authorized official | Plummer, Lawrence B Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 20th, 2005 |
| Last updated | Aug 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336138411 | NPPES |
| Illinois | Other | I4A111 | IL DEPT OF PUBLIC HEALTH |
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